GREGORY JAMES CRADDOCK DO
NPI 1912004862
Neuromusculoskeletal Medicine & OMM in Alexandria, VA

Active since September 20, 2006Opted out of Medicare · through Jan 1, 2028
1225 MARTHA CUSTIS DR, STE C-7, ALEXANDRIA, VA 22302(703) 998-6760 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gregory James Craddock Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGORY JAMES CRADDOCK DO (NPI 1912004862) is an individual neuromusculoskeletal medicine & omm provider in Alexandria, Virginia, licensed in Virginia (0102201175) and active in the NPI registry since September 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1912004862
Entity TypeIndividualMale
Primary Taxonomy204D00000X
Provider Legal NameGREGORY JAMES CRADDOCKCredential: DO
Location Address1225 MARTHA CUSTIS DR, STE C-7Alexandria, VA 22302-2000
Mailing Address1225 Martha Custis Dr, Ste C-7Alexandria, VA 22302-2000 · (703) 998-6760
Sole ProprietorYes
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1912004862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
License Licensed in VA · 0102201175
Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

1225 MARTHA CUSTIS DR, Alexandria, VA 22302

Other Identifiers 1

Medicare UPINH43738VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Gregory James Craddock Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2014 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2014
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
1225 MARTHA CUSTIS DR, SUITE 2
ALEXANDRIA, VA 22302
Dietitian, Registered
1225 MARTHA CUSTIS DR, UNIT 409
ALEXANDRIA, VA 22302
Counselor (Professional)
1225 MARTHA CUSTIS DR, SUITE 2
ALEXANDRIA, VA 22302
Neuromusculoskeletal Medicine & OMM
1225 MARTHA CUSTIS DR, SUITE C-7
ALEXANDRIA, VA 22302
Family Medicine
1225 MARTHA CUSTIS DR, SUITE C-1
ALEXANDRIA, VA 22302
Clinic/Center (Federally Qualified Health Center (FQHC))
1225 MARTHA CUSTIS DR
ALEXANDRIA, VA 22302
Psychologist
1225 MARTHA CUSTIS DR, C-2
ALEXANDRIA, VA 22302
Psychologist (Clinical)
1225 MARTHA CUSTIS DR, SUITE 2
ALEXANDRIA, VA 22302

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Craddock's NPI number?

The NPI number for Gregory Craddock is 1912004862. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Gregory Craddock located?

Gregory Craddock practices at 1225 Martha Custis Dr Ste C-7, Alexandria, VA 22302. The listed phone number is (703) 998-6760.

What is Gregory Craddock's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Gregory Craddock enrolled in Medicare?

No. Gregory Craddock has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Gregory Craddock was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.